Skip to content
2000
Volume 21, Issue 3
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Background

Pregnancy, childbirth, and the postpartum period are among the events that affect sexual behaviors and interactions, which are associated with many physical and emotional changes.

Objective

This study aims to examine the effect of sex education on Genital Self-Image (GSI), Sexual Quality of Life (SQOL), and sexual function among primiparous women.

Methods

This study was a randomized controlled trial conducted on 140 primiparous women referred to the Women's Clinic of Jahrom City from February to October 2020. Participants were assigned to an intervention group (n = 70) and a control group (n = 70). The intervention group received sexual education consisting of two sessions a week (90 min each) for eight consecutive weeks; the control group received none. Female Sexual Function Index (FSFI), Sexual Quality of life-Female (SQOL-F) questionnaire, and Genital Self-Image were completed before and four weeks after the end of the intervention in both groups. Questionnaires were used to assess the variables' dimensions both before and after each intervention. Descriptive statistics, Chi-square test, independent t-test, paired t-test, analysis of covariance, and regression analysis were used to examine the collected data in SPSS 21.

Results

The total score of FSFI in the intervention group significantly increased from 24.14 ± 3.02 to 27.31 ± 2.59 (<0.0001). Besides, there was a significant difference among the mean scores of the FSFI domains, including desire (4.82 ± 0.84 . 3.42 ± 0.98), arousal (4.91 ± 0.67 . 3.60 ± 1.12), orgasm (5.14 ± 0.82 . 3.53 ± 1.49), lubrication (5.94 ± 0.83 . 4.47 ± 0.97), satisfaction (5.50 ± 0.67 . 4.62 ± 1.09), pain (3.53 ± 1.01 . 4.26 ± 1.42), total Score FSFI (27.86 ± 3.56 . 24.02 ± 4.84), genital self-image (20.44 ± 3.16 . 10.41 ± 2.22), and sexual quality of life (52.37 ± 3.61 . 30.87 ± 3.47) between the intervention, and control groups after the educational intervention (<0.05). There was no such difference before the intervention.

Conclusion

Sexual education improves sexual function, GSI, and SQOL in primiparous women. Therefore, sexual education workshops are suggested to prevent sexual problems in the postpartum period for all women, especially primiparous women.

Loading

Article metrics loading...

/content/journals/cwhr/10.2174/0115734048274350240103070917
2024-01-29
2024-12-23
Loading full text...

Full text loading...

References

  1. CashT.F. The body image workbook: An 8-step program for learning to like your looks.New Harbinger Publications, Inc1997
    [Google Scholar]
  2. SchultzJ.M. VidebeckS.L. Lippincott’s manual of psychiatric nursing care plans.Lippincott Williams & Wilkins2009
    [Google Scholar]
  3. Corbacioglu EsmerA. AkcaA. AkbayirO. GoksedefB.P.C. BakirV.L. Female sexual function and associated factors during pregnancy.J. Obstet. Gynaecol. Res.20133961165117210.1111/jog.1204823718891
    [Google Scholar]
  4. EbrahimipourH. JalambadanyZ. PeymanN. IsmailiH. Vafaii NajjarA. Effect of sex education, based on the theory of planned behavior, on the sexual function of the woman attending Mashhad health centers.J Birjand Uni Med Sci.20132015867
    [Google Scholar]
  5. Quinn-NilasC. BensonL. MilhausenR.R. BuchholzA.C. GoncalvesM. The relationship between body image and domains of sexual functioning among heterosexual, emerging adult women.Sex. Med.201643e182e18910.1016/j.esxm.2016.02.00427036088
    [Google Scholar]
  6. AfshariP. HoushyarZ. JavadifarN. PourmotahariF. JorfiM. The relationship between body image and sexual function in middle-aged women.Electron. Physician20168113302330810.19082/330228070265
    [Google Scholar]
  7. NazarpourS. SimbarM. KhorramiM. JafariT.Z. SaghafiR. Alavi-MajdH. The association between sexual function and body image among postmenopausal women: A cross-sectional study.BMC Womens Health202121140310.1186/s12905‑021‑01549‑134876095
    [Google Scholar]
  8. Ramseyer WinterV. O’NeillE.A. CookM. RoseK.L. HoodA. Sexual function in hook-up culture: The role of body image.Body Image20203413514410.1016/j.bodyim.2020.05.01032574984
    [Google Scholar]
  9. CamposL.S. De NardiS.P. LimbergerL.F. CaldasJ.M. Sexual function, body image and quality of life of women with advanced cancer.Sex. Disabil.202240114115110.1007/s11195‑021‑09722‑y
    [Google Scholar]
  10. PirniaB. HomayounfarN. HosseiniN. EbrahimiF. Haj SadeghiZ. MalekanmehrP. The predictive role of body image and sexual function in quality of life after modified radical mastectomy regarding the mediating role of emotion; a cross sectional study.Int. J. Cancer Manag.2020131110.5812/ijcm.101371
    [Google Scholar]
  11. WeaverA.D. ByersE.S. The relationships among body image, body mass index, exercise, and sexual functioning in heterosexual women.Psychol. Women Q.200630433333910.1111/j.1471‑6402.2006.00308.x
    [Google Scholar]
  12. KolanderC.A. BallardD.J. ChandlerC.K. Contemporary women’s health: issues for today and the future.McGraw-Hill Humanities1999
    [Google Scholar]
  13. PazmanyE. BergeronS. Van OudenhoveL. VerhaegheJ. EnzlinP. Body image and genital self-image in pre-menopausal women with dyspareunia.Arch. Sex. Behav.2013426999101010.1007/s10508‑013‑0102‑423605571
    [Google Scholar]
  14. VagosP. PereiraA. A cognitive perspective for understanding and training assertiveness.Eur. Psychol.201621210912110.1027/1016‑9040/a000250
    [Google Scholar]
  15. Doğan YüksekolÖ. YilmazA.N. İrtegünS. Yüksekol, Öd A Literature review on genital self image in women and affecting factors.IJHSRP20205334435510.33457/ijhsrp.810985
    [Google Scholar]
  16. JohnsonC.E. Sexual health during pregnancy and the postpartum.J. Sex. Med.2011851267128410.1111/j.1743‑6109.2011.02223.x21521481
    [Google Scholar]
  17. HustadI.B. MalmqvistK. IvanovaE. RückC. EnanderJ. Does size matter? genital self-image, genital size, pornography use and openness toward cosmetic genital surgery in 3503 swedish men and women.J. Sex. Med.20221991378138610.1016/j.jsxm.2022.06.00635853798
    [Google Scholar]
  18. SarikhaniR. Mreghati KhoiiE. JahdiF. Comparing the effectiveness of TTM based sex education with traditional approach in sexual self-efficacy of Primiparous women in postpartum Tehran University of Medical Sciences.Tehran: Tehran Faculty of Nursing and Midwifery2011
    [Google Scholar]
  19. GhodsbinF The impact of protective measures in the first six weeks after childbirth on the quality of life in Nulliparous women.2001
    [Google Scholar]
  20. NikpourS. JavaheriI. YadavarN.M. JamshidiR. Study of Sexual problems resulting from delivery in primiparous women referred to outpatient clinics in west of Tehran.Majallah-i Ulum-i Pizishki-i Razi20061350189196
    [Google Scholar]
  21. AceleE.Ö. KaraçamZ. Sexual problems in women during the first postpartum year and related conditions.J. Clin. Nurs.2012217-892993710.1111/j.1365‑2702.2011.03882.x22008061
    [Google Scholar]
  22. BanaeiM. DashtiA. DashtiS. Sexual dysfunction and its associated factors after delivery: Longitudinal study in Iranian women.Mater. Sociomed.201830219820310.5455/msm.2018.30.198‑20330515059
    [Google Scholar]
  23. ShirvaniM.A. NesamiM.B. BavandM. Maternal sexuality after child birth among Iranian women.Pak. J. Biol. Sci.201013838538910.3923/pjbs.2010.385.38920836299
    [Google Scholar]
  24. NowruziM. BashardostN. FarahaniM. Evaluate of physical-sexual problems women in postpartum period and related factors. Article in PersianShahrekord Univ. Med. Sci. J.2004732832
    [Google Scholar]
  25. OzcanS. Relationship between the genital self-image and the sexual quality of life of primiparous women in the postpartum period in heterosexual couples.Int. J. Sex. Health202234347448210.1080/19317611.2022.2038760
    [Google Scholar]
  26. MohamedT.R.B. HamdioS. SalehN. Effect of exclusive breastfeeding on the quality of life among primiparous women. Egypt.J. Health Care20211241731174210.21608/ejhc.2021.244099
    [Google Scholar]
  27. GrabovacI. DornerT.E. Association between low back pain and various everyday performances.Wien. Klin. Wochenschr.201913121-2254154910.1007/s00508‑019‑01542‑731493101
    [Google Scholar]
  28. MollaioliD. CioccaG. LimoncinE. Di SanteS. GravinaG.L. CarosaE. LenziA. JanniniE.A.F. Lifestyles and sexuality in men and women: The gender perspective in sexual medicine.Reprod. Biol. Endocrinol.20201811010.1186/s12958‑019‑0557‑932066450
    [Google Scholar]
  29. GutzeitO. LevyG. LowensteinL. Postpartum female sexual function: Risk factors for postpartum sexual dysfunction.Sex. Med.20208181310.1016/j.esxm.2019.10.00531837965
    [Google Scholar]
  30. CraneA.K. GellerE.J. BaneH. JuR. MyersE. MatthewsC.A. Evaluation of pelvic floor symptoms and sexual function in primiparous women who underwent operative vaginal delivery versus cesarean delivery for second-stage arrest.Female Pelvic Med. Reconstr. Surg.2013191131610.1097/SPV.0b013e31827bfd7b23321653
    [Google Scholar]
  31. Quoc HuyN.V. Phuc AnL.S. PhuongL.S. TamL.M. Pelvic floor and sexual dysfunction after vaginal birth with episiotomy in Vietnamese women.Sex. Med.20197451452110.1016/j.esxm.2019.09.00231607584
    [Google Scholar]
  32. BotrosS.M. AbramovY. MillerJ.J.R. SandP.K. GandhiS. NickolovA. GoldbergR.P. Effect of parity on sexual function: An identical twin study.Obstet. Gynecol.2006107476577010.1097/01.AOG.0000207677.03235.7616582110
    [Google Scholar]
  33. KurniawatiEM IrwantoS MuhdiN The sexual function of primiparous women after normal delivery and cesarean section according to the female sexual function index.Open Access Maced. J. Med. Sci.20219B1237124010.3889/oamjms.2021.6139
    [Google Scholar]
  34. BrubakerL. HandaV.L. BradleyC.S. ConnollyA. MoalliP. BrownM.B. WeberA. Sexual function 6 months after first delivery.Obstet. Gynecol.200811151040104410.1097/AOG.0b013e318169cdee18448733
    [Google Scholar]
  35. BarrettG. PendryE. PeacockJ. VictorC. ThakarR. ManyondaI. Women’s sexual health after childbirth.BJOG2000107218619510.1111/j.1471‑0528.2000.tb11689.x10688502
    [Google Scholar]
  36. Sayed AhmedW.A. KishkE.A. FarhanR.I. KhameesR.E. Female sexual function following different degrees of perineal tears.Int. Urogynecol. J. Pelvic Floor Dysfunct.201728691792110.1007/s00192‑016‑3210‑627924373
    [Google Scholar]
  37. RathfischG. DikencikB.K. Kizilkaya BejiN. ComertN. TekirdagA.I. KadiogluA. Effects of perineal trauma on postpartum sexual function.J. Adv. Nurs.201066122640264910.1111/j.1365‑2648.2010.05428.x20735499
    [Google Scholar]
  38. KhajeheiM. DohertyM. TilleyP.J.M. SauerK. Preva-lence and risk factors of sexual dysfunction in postpartum Australian women.J. Sex. Med.20151261415142610.1111/jsm.1290125963126
    [Google Scholar]
  39. WiedermanM.W. HurstS.R. Body size, physical attractiveness, and body image among young adult women: Relationships to sexual experience and sexual esteem.J. Sex Res.199835327228110.1080/00224499809551943
    [Google Scholar]
  40. MauliaD. RakhmawatiD. Murti DewantoF. Sexuality education in early childhood through animation.Proceedings of the the 3rd International Conference on Education & Social Science Research (ICESRE)2020
    [Google Scholar]
  41. KettingE. BrockschmidtL. IvanovaO. Investigating the ‘C’ in CSE: Implementation and effectiveness of comprehensive sexuality education in the WHO European region.Sex Educ.202121213314710.1080/14681811.2020.1766435
    [Google Scholar]
  42. SharifiN. HashemianM. RahimiZ. JoveiniH. MehriA. ShahrabadiR. RahmanianV. Educational intervention in promoting fatty liver preventive behaviors in women: Using the protection motivation theory.J. Educ. Community Health.20229312313210.34172/jech.2022.28
    [Google Scholar]
  43. GolmakaniN. MarviN. MiriH. EsmailyH. The effect of sexual education based on sexual health model on the sexual function of women with infertility.Iran. J. Nurs. Midwifery Res.201924644445010.4103/ijnmr.IJNMR_199_1731772919
    [Google Scholar]
  44. SalmaniyanK. MarashianF. The effectiveness of sexual skills training on genital self-image, psychological distress and meta-worry of infertile women.J. Community Health20221637079
    [Google Scholar]
  45. SabbaghanM. MalakoutiJ. MirghafourvandM. HakimiS. RanjbarF. The effect of training package on genital self-image and sexual function: a randomized controlled clinical trial.Iran. Red Crescent Med. J.201719910.5812/ircmj.14453
    [Google Scholar]
  46. Hosseini NejadS. BokaieM. MojtabaY.A.S. Effectiveness of sexual health counseling based on mindfulness approach on sexual satisfaction in women suffering from infertility: An RCT.Int. J. Reprod. Biomed.202321214715837034296
    [Google Scholar]
  47. PietersR. KeddeH. BenderJ. Training rehabilitation teams in sexual health care: A description and evaluation of a multidisciplinary intervention.Disabil. Rehabil.201840673273910.1080/09638288.2016.127102628068867
    [Google Scholar]
  48. ShahbaziA. Behboodi MoghadamZ. MaasoumiR. SaffariM. MohammadiS. MontazeriA. Effect of a health-education program based on the BASNEF model of overall sexual health satisfaction and satisfaction with quality of sexual relationship among women with infertility.Int. J. Womens Health20201297598210.2147/IJWH.S24873433177888
    [Google Scholar]
  49. ShokraniS. The effect of education based on sexual self-efficacy on marital satisfaction in women.Arch. Pharm. Pract.2020111138142
    [Google Scholar]
  50. Sadri DamirchiE. PoorzorP. EsmailiG.F. Effectiveness of sexual skills education on sexual attitude and knowledge in married women.J. Fam. Psychother.201761115
    [Google Scholar]
  51. GerafarA. The effect of sex education on sexual satisfaction of married women in bojnourd city.Zanko J Med Sci201718563346
    [Google Scholar]
  52. OlssonA. LundqvistM. FaxelidE. NissenE. Women’s thoughts about sexual life after childbirth: Focus group discussions with women after childbirth.Scand. J. Caring Sci.200519438138710.1111/j.1471‑6712.2005.00357.x16324063
    [Google Scholar]
  53. BorgheiN.S. SeifiF. BehnampourN. RaeesianF. Effect of sexual education on sexual function of primigravid women: A clinical trial study.J. Res. Dev. Nurs. Midwifery202219215
    [Google Scholar]
  54. NavidianA. SheikhiZ.P. RigiM. Effect of sexual health education on sexual function and resumption of sexual intercourse after childbirth in primiparous women.J. Educ. Health Promot.2020918710.4103/jehp.jehp_591_1932509895
    [Google Scholar]
  55. ZamaniM. Latifnejad RoudsariR. MoradiM. EsmailyH. The effect of sexual health counseling on women’s sexual satisfaction in postpartum period: A randomized clinical trial.Int. J. Reprod. Biomed.2019171415010.18502/ijrm.v17i1.381931435578
    [Google Scholar]
  56. BanaeiM. AlidostF. GhasemiE. DashtiS. A comparison of sexual function in primiparous and multiparous women.J. Obstet. Gynaecol.202040341141810.1080/01443615.2019.164019131537138
    [Google Scholar]
  57. DahlgrenH. JanssonM.H. FranzénK. HiyoshiA. NilssonK. Sexual function in primiparous women: A prospective study.Int. Urogynecol. J. Pelvic Floor Dysfunct.20223361567158210.1007/s00192‑021‑05029‑w34973088
    [Google Scholar]
  58. GommesenD. NøhrE. QvistN. RaschV. Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: A prospective cohort study.BMJ Open2019912e03236810.1136/bmjopen‑2019‑03236831848167
    [Google Scholar]
  59. RosenR. BrownC. HeimanJ. LeiblumS. MestonC. ShabsighR. FergusonD. D’AgostinoR.Jr The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function.J. Sex Marital Ther.200026219120810.1080/00926230027859710782451
    [Google Scholar]
  60. MohammadiK. HaydariM. FaghihzadehS. Validated Persian version of women’s sexual functioning scale instruction.Payesh J.200872269278
    [Google Scholar]
  61. SymondsT. BoolellM. QuirkF. Development of a questionnaire on sexual quality of life in women.J. Sex Marital Ther.200531538539710.1080/0092623059100650216169822
    [Google Scholar]
  62. MaasoumiR. LamyianM. MontazeriA. AzinS.A. Aguilar-VafaieM.E. HajizadehE. The sexual quality of life-female (SQOL-F) questionnaire: Translation and psychometric properties of the Iranian version.Reprod. Health20131012510.1186/1742‑4755‑10‑2523642126
    [Google Scholar]
  63. HerbenickD. SchickV. ReeceM. SandersS. DodgeB. FortenberryJ.D. The Female Genital Self-Image Scale (FGSIS): Results from a nationally representative probability sample of women in the United States.J. Sex. Med.20118115816610.1111/j.1743‑6109.2010.02071.x21044269
    [Google Scholar]
  64. VosoughiN. MaasoumiR. Haeri MehriziA.A. GhanbariZ. The effect of psychosexual education on promoting sexual function, genital self-image, and sexual distress among women with Rokitansky syndrome: A randomized controlled clinical trial.J. Pediatr. Adolesc. Gynecol.2022351738110.1016/j.jpag.2021.06.00834271197
    [Google Scholar]
  65. HeidariM. AminshokraviF. ZayeriF. AzinS.A. Effect of sexual education on sexual function of Iranian couples during pregnancy: A quasi experimental study.J. Reprod. Infertil.2018191394829850446
    [Google Scholar]
  66. AlizadehS. RiaziH. MajdH.A. OzgoliG. The effect of sexual health education on sexual activity, sexual quality of life, and sexual violence in pregnancy: A prospective randomized controlled trial.BMC Pregnancy Childbirth202121133410.1186/s12884‑021‑03803‑833902468
    [Google Scholar]
  67. The effect of sex education on sexual intimacy of married women.IJPN2014213442
    [Google Scholar]
  68. MohamadiM. GelianS. KazemnejadA. The effect counseling on sexual function nulliparous women during lactation.J Tehran Med Univ.20101520170177
    [Google Scholar]
  69. TorkzahraniS. OzgoliG. AzadM. MahmoudikohaniF. The effectiveness of consultation based on plissit model on sexual function of lactating women.Nurs Midwifery Res. J.2016147639647
    [Google Scholar]
  70. ChunN. Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer.J. Korean Acad. Nurs.201141447148010.4040/jkan.2011.41.4.47121964222
    [Google Scholar]
  71. NhoJ.H. [Effect of PLISSIT model sexual health enhancement program for women with gynecologic cancer and their husbands].J. Korean Acad. Nurs.201343568168910.4040/jkan.2013.43.5.68124351999
    [Google Scholar]
  72. MarviN. GolmakaniN. EsmaeliH. SharehH. Effect of sex education on infertile females’ genital self-image.J. Mazandaran Univ. Med. Sci.201827158143153
    [Google Scholar]
  73. LordeloP. BrasilC. LercheJ. GomesT. MartinsP. CastroM. Relationship between female genital self-image and sexual function: Cross-sectional study.Obstet. Gynecol. Int. J.2017740025310.15406/ogij.2017.07.00253
    [Google Scholar]
  74. The effectiveness of sexual education in cognitive behavioral methods on couples sexual self-conception. Amini, M.; Moradi, A.; Momeni, K.; Pour, R.M., Eds.; Int Congress of Psychology20169227152725
    [Google Scholar]
  75. SayyadiF. GolmakaniN. KarimA.A. The effect of sexual assertiveness training on women’s genital self-image: A randomized clinical trial.JMRH20219227152725
    [Google Scholar]
  76. WidayatiS. SaroinsongW.P. SyarifaR.A. YannaA-D.D. PratiwiI.R. Sex education has a positive impact on children’s self concept.International Joint Conference on Arts and Humanities 2021 (IJCAH 2021)202110.2991/assehr.k.211223.207
    [Google Scholar]
  77. KhorashadizadeF. KaramidehkordiA. RahseparA. LatifnejadR.R. SalariM. EsmailyH. Determination of the association between body image with sexual function and marital adjustment in fertile and infertile Women by path analysis modeling.J North Khorasan Univ Med Sci.201233233110.29252/jnkums.3.5.S5.23
    [Google Scholar]
  78. MatloobiM. AminiL. ShahaliS. HaghaniH. TahermaneshK. HassanloueiB. AllahqoliL. AlkatoutI. Effect of sex education on sexual function and sexual quality of life in women with endometriosis: A quasi‐experimental study.Int. J. Gynaecol. Obstet.2022159370271010.1002/ijgo.1425435514234
    [Google Scholar]
  79. MehrabiM. LotfiR. MerghatiK.E. RahimzadehK.M. Effectiveness of a PLISSIT based sexual counseling on sexual function and sexual quality of life among women with type 2 diabetes mellitus: Protocol of a randomized clinical trial.Alborz. Uni. Med. J.20187S7233010.29252/aums.7.7:supplement.3‑supple.23
    [Google Scholar]
  80. BuyukA. CetinS.Y. SakinciM. The effects of pelvic floor muscle training and behavioral training on sexual dysfunction, incontinence, physical activity level and quality of life in the elderly.Sex. Disabil.202139355556810.1007/s11195‑021‑09684‑1
    [Google Scholar]
  81. FitzF.F. CostaT.F. YamamotoD.M. MagalhãesR.A.P. StüppL. FerreiraS.M.G. CastelloG.M.J.B. CastroR.A. Impact of pelvic floor muscle training on the quality of life in women with urinary incontinence.Rev. Assoc. Med. Bras.201258215515910.1016/S0104‑4230(12)70175‑622569609
    [Google Scholar]
  82. StephensonK.R. MestonC.M. Differentiating components of sexual well-being in women: are sexual satisfaction and sexual distress independent constructs?J. Sex. Med.2010772458246810.1111/j.1743‑6109.2010.01836.x20456625
    [Google Scholar]
  83. DoganT. TugutN. GolbasiZ. The relationship between sexual quality of life, happiness, and satisfaction with life in married Turkish women.Sex. Disabil.201331323924710.1007/s11195‑013‑9302‑z
    [Google Scholar]
/content/journals/cwhr/10.2174/0115734048274350240103070917
Loading
/content/journals/cwhr/10.2174/0115734048274350240103070917
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test